Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $3,153.00 / $10,802.00	Facility		$141.15	$3,153.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $144.77 / $224.81	Professional		$101.51	$144.77	$224.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $155.61 / $223.02	Professional		$132.27	$155.61	$223.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $106.42 / $126.70	Facility		$104.95	$106.42	$126.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $160.18 / $266.52	Professional		$100.89	$160.18	$266.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $134.44 / $206.13	Professional		$90.91	$134.44	$206.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $152.09 / $214.74	Professional		$105.02	$152.09	$214.74
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $163.62 / $288.33	Professional		$124.81	$163.62	$288.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $138.13 / $138.13	Professional		$91.41	$138.13	$138.13